Financial Incentives for Smoking Cessation Among Perinatal Women At Risk for Depression:
نام عام مواد
[Thesis]
نام نخستين پديدآور
Zvorsky, Ivori
عنوان اصلي به قلم نويسنده ديگر
Effects on Smoking Abstinence and Depressive Symptoms
نام ساير پديدآوران
Higgins, Stephen T.
وضعیت نشر و پخش و غیره
نام ناشر، پخش کننده و غيره
The University of Vermont and State Agricultural College
تاریخ نشرو بخش و غیره
2020
مشخصات ظاهری
نام خاص و کميت اثر
79
یادداشتهای مربوط به پایان نامه ها
جزئيات پايان نامه و نوع درجه آن
Ph.D.
کسي که مدرک را اعطا کرده
The University of Vermont and State Agricultural College
امتياز متن
2020
یادداشتهای مربوط به خلاصه یا چکیده
متن يادداشت
Introduction: Financial incentives increase smoking abstinence among pregnant and postpartum women. They have also been reported to reduce psychological symptoms using the Beck Depression Inventory (BDI) and Brief Symptom Inventory (BSI) in women at risk for perinatal depression. This prospective study aims to replicate and extend these findings using the BDI and Edinburgh Postpartum Depression Scale (EPDS). Methods: Participants were 169 pregnant cigarette smokers who were assigned to one of two treatment conditions: Best Practices only (n=88), which entails brief counseling and a referral to a pregnancy-specific quit-line, or Best Practices + Incentives (n=81). Participants were categorized as at increased risk (Dep+; n= 91) or lower risk (Dep-; n= 76) for depression based on history of depressive symptoms and baseline symptom scores. Treatment effects on smoking status and BDI/EPDS scores were examined across nine perinatal assessments using repeated measures analyses of covariance. Results: Financial incentives increased rates of biochemically-verified abstinence through 12-weeks postpartum independent of depression risk (ps ≤ .01) but did not differentially decrease BDI or EPDS scores (ps > .05). Scores decreased with both interventions for the Dep+ women (p = .001). Conclusions: These results replicate earlier evidence that financial incentives increase perinatal smoking abstinence in Dep+ women but not their efficacy in differentially reducing depressive symptoms at levels greater than Best Practices. The failure to replicate effects on depressive symptoms may be due to use of different control conditions in the current and prior study or increased screening and intervention for perinatal mental health during routine obstetrical care.
موضوع (اسم عام یاعبارت اسمی عام)
موضوع مستند نشده
Cigarette smoking
موضوع مستند نشده
Contingency management
موضوع مستند نشده
Depression
موضوع مستند نشده
Financial incentives
موضوع مستند نشده
Perinatal
موضوع مستند نشده
Postpartum
نام شخص به منزله سر شناسه - (مسئولیت معنوی درجه اول )